Would you like to work with an ESL (English as a Second Language) student?

Yes
No

Mentor Preference?

Girl
Boy

Grade

2nd

3rd

4th

5th

6th

7th

8th

Assumption of Risk/Release of Liability It is understood that The University of Texas at Austin does not provide medical insurance covering injuries of any nature incurred during participation in the Neighborhood Program. The undersigned hereby release The University of Texas at Austin, its successors, assignees, offices, agents, and employees from any and all claims, demands and causes of action whatsoever in any way growing out of or resulting from the participation in the Neighborhood Longhorns Program. All participants should be covered by their own insurance policies.

I agree

This is my first year as site coordinator/administrator at Austin ISD, but I can see that our families appreciate and trust the NLP processes to involve families in their children’s education.